Zusammenfassung
Das Hauptproblem der Hüftgelenkarthroplastik bleibt die aseptische Lockerung, speziell diejenige der Hüftgelenkpfanne. Dies hat Charnley [31] bereits 1979 betont und konnte später durch die Überlebenskurven von Sutherland et al. [240], Morscher u. Schmassmann [170] aufgezeigt werden (Abb. la, b). Mulroy u. Harris [177] fanden eine 20fache Zunahme der Pfannenlockerung zwischen 5 und 11 Jahren. Während die Lockerungsrate des Femurschaftes einen ungefähr linearen zeitlichen Verlauf zeigt, ist eine Pfannenlockerung in den ersten 6–8 Jahren postoperativ relativ selten, nimmt dann aber nach dem 10. postoperativen Jahr exponentiell zu [170].
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Morscher, E. (1995). Die zementfreie Fixation der Hüftgelenkpfanne bei der primären Hüfttotalprothesenarthroplastik. In: Morscher, E.W. (eds) Endoprothetik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79298-4_11
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